HomeMy WebLinkAboutX2021-2389 - Permit Application`:,Print') otrn Worksheet for Combo Building & Solar Permit Application oF� °�
r Comm'I r Residential City of Newport Beach -Building Division X2o2�_23"o
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTALn LL <„o,�''
rBuilding [-Grading
FDrainage rElec F_-Mech FPlum cuvdcut BD CuvdFill BD
Project Address (Not mailing address) C Flood [- Fire F_ Liq F_ Landslide 17N/A Floor Suite No
17 Narcissus Ave.
Corona Del Mar, CA 92625Le-f �_t_z
\ 1
Description of Work
f \
Use F ConstType
Demolition of existing single family home and garage. \
# Stories # Units (if Res)s
Valuation $
New/AddSFF77777
RemodelSFF____7 Garage/New/Add'
Material/Labor
OWNER'S NAME
Last inos First richael
Owner's Address
Owner's E-mail Address
334 E. Coast Hwy. #435
ichael@sonii.com
City orona Del Mar
State Zip FT625 Telephone 14 943 1392
-
APPLICANTS NAME
ael
Last inos First rch
Applicant's Address
Applicant's E-mail Address
334 E. Coast Hwy. #435
ichael@sonil.com
Cit Y FaDol Mar
p 2625 14-943-1392
State Zi Telephone
ARCHITECT/DESIGNER'S NAME eale ark 22162
Last '. First Lic. No
Architect/Designer's Address
Architect/Designer's E-mail Address
900 Bristol St., Building A Suite 203 teale9@gmail.com
city osta Mesa -
Ci
p 2626 p 49-975-0123
State _ - Zi Telephone
ENGINEER'S NAME
Last akim First ady Lic. No. 75736
Engineer's Address
Engineer's E-mail Address
10 Goddard, Suite 200
adyhakim@fmhengineering.com
Cit Y rivine
KA—p 2628 - p 49-245-8000-
State Zi Tele hone
CONTRACTOR'S NAME/COMPANY ONIL Construction Lic. No.052155 Class
Contractor's Address
Contractor's E-mail Address
334 E. Coast Hwy. #435
ichael@sonil.com
City orona Del Mar
State �— Zip 2625 Telephone 14-943 1392
SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
—P°
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO !1` "1 vPLAN CHECK FEES $